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الاسم: ____________________ التاريخ: ____________
1.سهلة
How should a newborn be placed in the car?
ALying in a carrycot on the back seat without straps
BIn a rear-facing car seat in the back seat
CIn a forward-facing seat in the front
DOn a parent's lap in the front seat
2.سهلة
What is the main role of a support person such as a doula in labour?
AGiving pain medication
BContinuous emotional and physical support
CInterpreting the fetal heart rate tracing
DPerforming vaginal examinations
3.سهلة
Kernicterus is caused by deposits of which substance in the brain?
AExcess glucose from feeds
BConjugated bilirubin
CUnconjugated bilirubin
DCalcium from the mother
4.متوسطة
After an amniotomy, why is the time of rupture of the membranes recorded?
AIt is used to work out the baby's gestational age
BInfection risk rises the longer the membranes are ruptured
CIt is needed to calculate the woman's Bishop score
DIt predicts exactly when the placenta will deliver
5.متوسطة
A woman on day 3 after a caesarean has calf pain, swelling and warmth in one leg. What should the nurse do?
AMassage the calf to relieve the cramp
BEncourage her to do vigorous leg exercises
CReport it promptly and avoid massaging the leg
DApply a heating pad and reassess tomorrow
6.متوسطة
Why are afterpains often stronger in multiparous women?
ATheir uterus is always infected
BThey have a smaller uterus than first-time mothers
CThey produce no oxytocin after birth
DTheir uterus contracts and relaxes more irregularly
7.صعبة
A woman with a placenta praevia at 35 weeks is waiting for a planned caesarean. Which activity should she avoid?
ASexual intercourse
BEating a normal diet
CGentle walking
DLying on her side
8.صعبة
A multiparous woman arrives with strong contractions and the baby is born within an hour of their onset. What should the nurse monitor closely afterwards?
AOnly the mother's temperature
BOnly the newborn's blood glucose
CUterine tone, bleeding and newborn injury
DThe mother's ability to walk alone
مفتاح الإجابات
1. B · In a rear-facing car seat in the back seat
2. B · Continuous emotional and physical support
3. C · Unconjugated bilirubin
4. B · Infection risk rises the longer the membranes are ruptured
5. C · Report it promptly and avoid massaging the leg
6. D · Their uterus contracts and relaxes more irregularly
7. A · Sexual intercourse
8. C · Uterine tone, bleeding and newborn injury
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